Email:

Address:

City: State: ZIP:

Phone:

Car Information

Year: Make:

Model: Color:

Club Affiliation:

or FAX to: (916) 408-7168

I understand that my payment indicates that I am releasing the Plow Jockeys Car Club, Avant-Garde Salon, Friends of Lincoln Kids, and all officials connected to this event from all known or unknown damages, injuries, losses, judgements, and or claims suffered by myself, affiliates or my property. I also relinquish any rights to any photographs or videos taken in connection with this event.

Registration Fee: $15 pre registration / $20 day of event.

Checks or Money Orders payable to: Friends of Lincoln Kids
Mail to: Friends of Lincoln Kids, 395a, HWY 65, Suite 235, Lincoln, CA 95648